Recent studies and research have deemed cholesterol to be a poor predictor of cardiovascular risk. Furthermore, some studies have found no association between cholesterol levels and cardiovascular risk and an association does not necessarily imply cause and effect as any good researcher/scientist should know. HDL and triglycerides were found to be better predictors and are used as criteria for the metabolic syndrome, in addition to glucose levels, blood pressure and body fat around the waist. If HDL is normal-high as it should be with oral estrogen and if triglycerides are low-normal (they can increase on oral E or on high doses of non-oral E), then you are fine. When I reduced my carbs significantly, my triglycerides went way down and my HDL went way up due to increasing my consumption of fats, especially saturated (i.e. coconut oil, animal fats). My cholesterol also went up but the ratio of cholesterol to HDL remained very good.
As far as LDL goes, recent studies have also found that the size of the particles matters more. Small particles are more atherogenic. VLDL being high is also not good, it seems. Oral estrogen tends to reduce LDL and, I think, VLDL.
But again, these are all based on associations sooo...
Don't worry, you should be fine.
Hopefully, you will have a competent doctor who is up-to-date with the research.
p.s.: I am NOT a doctor.
